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Montana rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $182 · 10th–90th $123$7940%20%10th90th$182Professionalmedian $89 · 10th–90th $15$2140%10%10th90th$89$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $144.54 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $25.12 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $112.20 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $165.96 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $131.83 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $23.99 / $40.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $109.65 / $208.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $181.97 / $269.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $181.97 / $269.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $144.54 / $223.87
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $288.40
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $23.99 / $35.48
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $125.89 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $100.00 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $17.38 / $45.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $83.18 / $144.54